<form id="refuse-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <input type="hidden" name="id" value="{$data.id}">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-3">{:__('Realname')}:</label>
        <div class="col-xs-12 col-sm-9" style="line-height: 38px;">
            {$data.user.realname}
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-3">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-9" style="line-height: 38px;">
            {$data.user.mobile}
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-3">{:__('Money')}:</label>
        <div class="col-xs-12 col-sm-9" style="line-height: 38px;">
            {$data.money}
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-3">{:__('Fee')}:</label>
        <div class="col-xs-12 col-sm-9" style="line-height: 38px;">
            {$data.fee}
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-3">{:__('Receipt_money')}:</label>
        <div class="col-xs-12 col-sm-9" style="line-height: 38px;">
            {$data.receipt_money}
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-3">{:__('Reason')}:</label>
        <div class="col-xs-12 col-sm-6">
            <textarea id="c-reason" data-rule="required" class="form-control " rows="5" name="reason" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-3"></label>
        <div class="col-xs-12 col-sm-9">
            <button type="submit" class="btn btn-primary">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
